Advanced

Repeated Groin Hernia Recurrences.

Sevonius, Dan LU ; Gunnarsson, Ulf; Nordin, Pär; Nilsson, Erik and Sandblom, Gabriel LU (2009) In Annals of Surgery 249(3). p.516-518
Abstract
OBJECTIVE:: To describe the characteristics of patients undergoing multiple groin hernia repairs and to identify strategies that prevent further recurrence. SUMMARY BACKGROUND DATA:: Although relatively infrequent, recurrent groin hernias where several repairs have previously been undertaken constitutes a major problem in hernia surgery. Low numbers and heterogeneity have made it difficult to perform large prospective studies on this group. METHODS:: The study was designed as an observational population-based register study. All repairs for recurrent hernia recorded in the Swedish Hernia Register (SHR) 1992-2006 were identified. Risk for reoperation by number of previous repairs, with adjustment for gender and age, and risk for reoperation... (More)
OBJECTIVE:: To describe the characteristics of patients undergoing multiple groin hernia repairs and to identify strategies that prevent further recurrence. SUMMARY BACKGROUND DATA:: Although relatively infrequent, recurrent groin hernias where several repairs have previously been undertaken constitutes a major problem in hernia surgery. Low numbers and heterogeneity have made it difficult to perform large prospective studies on this group. METHODS:: The study was designed as an observational population-based register study. All repairs for recurrent hernia recorded in the Swedish Hernia Register (SHR) 1992-2006 were identified. Risk for reoperation by number of previous repairs, with adjustment for gender and age, and risk for reoperation by unit responsible for previous repair were determined using Cox proportional hazard analysis. RESULTS:: There were 12,104 cases of hernia repaired once, 2 repairs in 4199 cases, 3 repairs in 310 cases, 4 repairs in 32 cases, and 5 repairs in 3 cases. The risk for further reoperation increased with the number of previous repairs (P < 0.001). The hazard ratios for reoperation following open preperitoneal mesh repair and laparoscopic repair decreased; whereas, the hazard ratio for sutured repair increased with the number of previous repairs. The difference between Lichtenstein repair and laparoscopic repair was significant for the first 2 repairs (P < 0.05). CONCLUSION:: Laparoscopic preperitoneal repair provides the best surgical outcome in repeated groin hernia recurrence. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Annals of Surgery
volume
249
issue
3
pages
516 - 518
publisher
Lippincott Williams & Wilkins
external identifiers
  • wos:000263808300026
  • pmid:19247043
  • scopus:63449116947
ISSN
1528-1140
DOI
10.1097/SLA.0b013e318199f21c
language
English
LU publication?
yes
id
506b7f05-4cc2-4dfd-a01b-35308c2f4526 (old id 1302074)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19247043?dopt=Abstract
date added to LUP
2009-03-04 15:21:54
date last changed
2017-09-10 04:47:43
@article{506b7f05-4cc2-4dfd-a01b-35308c2f4526,
  abstract     = {OBJECTIVE:: To describe the characteristics of patients undergoing multiple groin hernia repairs and to identify strategies that prevent further recurrence. SUMMARY BACKGROUND DATA:: Although relatively infrequent, recurrent groin hernias where several repairs have previously been undertaken constitutes a major problem in hernia surgery. Low numbers and heterogeneity have made it difficult to perform large prospective studies on this group. METHODS:: The study was designed as an observational population-based register study. All repairs for recurrent hernia recorded in the Swedish Hernia Register (SHR) 1992-2006 were identified. Risk for reoperation by number of previous repairs, with adjustment for gender and age, and risk for reoperation by unit responsible for previous repair were determined using Cox proportional hazard analysis. RESULTS:: There were 12,104 cases of hernia repaired once, 2 repairs in 4199 cases, 3 repairs in 310 cases, 4 repairs in 32 cases, and 5 repairs in 3 cases. The risk for further reoperation increased with the number of previous repairs (P &lt; 0.001). The hazard ratios for reoperation following open preperitoneal mesh repair and laparoscopic repair decreased; whereas, the hazard ratio for sutured repair increased with the number of previous repairs. The difference between Lichtenstein repair and laparoscopic repair was significant for the first 2 repairs (P &lt; 0.05). CONCLUSION:: Laparoscopic preperitoneal repair provides the best surgical outcome in repeated groin hernia recurrence.},
  author       = {Sevonius, Dan and Gunnarsson, Ulf and Nordin, Pär and Nilsson, Erik and Sandblom, Gabriel},
  issn         = {1528-1140},
  language     = {eng},
  number       = {3},
  pages        = {516--518},
  publisher    = {Lippincott Williams & Wilkins},
  series       = {Annals of Surgery},
  title        = {Repeated Groin Hernia Recurrences.},
  url          = {http://dx.doi.org/10.1097/SLA.0b013e318199f21c},
  volume       = {249},
  year         = {2009},
}